Active NPI
Theodore Toerne, MD
- Emergency Medicine Physician
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 360940030
- Practice address
- 4440 W 95TH St
Department of Emergency Medicine
Oak Lawn, IL 60453-2600 - Phone
- (708) 684-5354
- Fax
- (708) 684-1028
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2282-320 | WI | |
| Medical Toxicology (Emergency Medicine) Physician | 207PT0002X | 360940030 | IL | |
| Emergency Medicine Physician | 207P00000X | 360940030 | IL | Primary |
Addresses
Primary practice location
4440 W 95TH St
Department of Emergency Medicine
Oak Lawn, IL 60453-2600
Mailing address
66 W 15TH St
Chicago, IL 60605-2727
Phone (312) 922-1553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360940030 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ttoerne874328@direct.gundersenhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 360940030 | IL | MD | Emergency Medicine Physician |
| 2282-320 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph's Health Services, Inc. | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc. | Current | Accepting new patients | |
| St. Joseph's Health Services, Inc. | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| St. Joseph's Health Services, Inc. | Current | Accepting new patients | |
| Integritas Emergency Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital Association | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Memorial Hospital of Boscobel | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc | Current | Accepting new patients | |
| Iems Physician Services PLLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital Association | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Memorial Hospital of Boscobel | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Unimed, LTD | Past | Accepting new patients | |
| Memorial Hospital Association | Past | Accepting new patients | |
| Emergency Care Physician Services | Emergency Medicine | Past | Accepting new patients |
Locations
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
Interoperability endpoints
- ttoerne874328@direct.emplifyhealth.org
- ttoerne916342@direct.unitypoint.org
- ttoerne874328@direct.gundersenhealth.org
Organizations & group practices 25
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Urbana, IL
- NPI 1790544047
-
- Emergency Medicine Physician
- Carbondale, IL
- NPI 1790128817
-
dba Emplify Health Hamilton Clinic
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
dba Gundersen Boscobel Area Hospital and Clinics
- Critical Access Hospital
- Boscobel, WI
- NPI 1760459846
-
dba Gundersen Moundview Hospital and Clinics, Inc.
- Critical Access Hospital
- Friendship, WI
- NPI 1710939533
-
- Clinic/Center
- Hillsboro, WI
- NPI 1104031798
-
- Rural Health Clinic/Center
- Whitehall, WI
- NPI 1417201864
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
dba Women & Family Medical Group
- Rural Health Clinic/Center
- Carthage, IL
- NPI 1205887742
-
dba Memorial Medical Clinic Broadway
- Rural Health Clinic/Center
- Hamilton, IL
- NPI 1679327779
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1902814502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W 15TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052727",
"telephone_number": "312-922-1553",
"fax_number": "312-922-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 W 95TH ST",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532600",
"telephone_number": "708-684-5354",
"fax_number": "708-684-1028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOERNE",
"first_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "2282-320",
"primary": false
},
{
"code": "207PT0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Medical Toxicology",
"state": "IL",
"license": "360940030",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "360940030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "360940030",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ttoerne874328@direct.gundersenhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "1836 South Ave",
"city": "LA Crosse",
"state": "WI",
"country_code": "US",
"postal_code": "546015429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.